文章基本信息
- 标题：A Case of Neuromyelitis Optica with Paraneoplastic Syndrome in Hepatocellular Carcinoma
- 本地全文：下载
- 作者：Kil, Hyun Kyung ; Lee, Gu Eun ; Hong, Hyuk Jin 等
- 期刊名称：Journal of the Korean Ophthalmological Society
- 印刷版ISSN：0378-6471
- 出版年度：2013
- 卷号：54
- 期号：10
- 页码：1630-1634
- DOI：10.3341/jkos.2013.54.10.1630
- 语种：Korean
- 出版社：The Korean Ophthalmological Society
- 摘要：Purpose
We report a case of neuromyelitis optica (Devic's syndrome) with hepatocellular carcinoma.
Case summaryA 70-year-old male with hepatocellular carcinoma presented with bilateral visual loss. A relative afferent pupillary defect was not observed in either eye due to bilateral mydriasis. On brain MRI, there was no specific finding, however, on spine MRI, multiple and severe myelopathies were observed. After high-dose methylprednisolone pulse therapy, the visual acuity was 0.03 in the right eye and counting fingers at 30 cm in the left eye.
ConclusionsWe encountered a case of neuromyelitis optica involving bilateral optic neuropathy in hepatocelluar carcinoma. Therefore, in patients with an optic neuropathy of uncertain etiology, clinicians should consider performing a systemic evaluation.
- 关键词：Devic\'s syndrome; Hepatocellular carcinoma; Neuromyelitis optica; Optic neuritis
